helpdesk@hospitalwatchdog.org English English Español Español

Nurse Fired While Advocating For Patient Safety On CVICU

Julie Griffin

Nurse Julie Griffin Photo by Munoz Photography

Bob Aller   August 4, 2019

Nurse Julie Griffin worked as an RN at the Westside Regional Medical Center in Plantation, Florida (Miami metro area). Repeatedly, Ms. Griffin registered criticism with hospital administrators over the practice of no continuous monitoring as well as inadequate nurse staffing on her cardiovascular ICU. Nurse Griffin believed it was her professional responsibility to safeguard all her patients. For her actions, Nurse Griffin was terminated.

Ms. Griffin filed a Florida Whistle-Blower Act lawsuit in Broward County, Florida. A Second Amended Complaint filed on August 10, 2018, alleges she was retaliated against and fired for making whistle-blower complaints.

Lawsuit Alleges Violations of State & Federal Law & Regulations

Violations of state and federal regulations and lawThe suit alleges that failing to continuously monitor elderly cardiac patients constituted “neglect of an elderly person or disabled adult under Florida law.” In addition, the suit indicates that the hospital required Ms. Griffin to sign an electronic medical record claiming cardiac patients were continuously monitored when the hospital knew that was not true. The suit asserts that the falsification of medical records was done to receive federal funds in violation of Federal law. Finally, the suit contends that the hospital received Medicare payments when it failed to meet a “minimum nurse-patient ratio of one nurse to two patients” that must be obtained under Federal regulations.

Interview With Nurse Griffin

Hospital Watchdog interviewed Ms. Griffin to learn the details of the events outlined in her lawsuit. Nurse Griffin summarized the key issues involving no continuous monitoring for some cardiac patients on her CVICU. 

  • When cardiac patients were admitted to the CVICU unit there was a standing order for continuous monitoring for these patients.
  • However, nurses could only monitor two (2) patients since the nurses’ telemetry screens only provided split-screen data for two patients in each of the patient’s separate rooms.
  • Frequently, the hospital required nurses to care for three (3) cardiac patients simultaneously. Assigning a third patient created an acute problem. For the third cardiac patient, no continuous monitoring could occur due to the technical limitation of the split-screen that only serves two patients.
  • In addition, as a back-up, the hospital did not provide full-time staff at the CVICU nurse’s station to monitor telemetry for all CVICU patients. Consequently, no staff could notify nurses if their unmonitored 3rd cardiac patient took a turn for the worse.
  • At least two of these unmonitored patients died.

CMS Rated Westside In the Lowest 6% Of U.S. Hospitals

Westside Regional Medical Center
Westside Regional Medical Center

While reviewing the history of Westside Regional, Hospital Watchdog found that CMS most recently rated Westside in the lowest 6% of CMS rated U.S. hospitals. Westside received a 1 Star rating on Hospital Compare, a federal consumer-oriented website providing information on how well hospitals perform. Yelp reviews appear consistent with the poor CMS hospital rating received by Western Regional.

To obtain answers to key questions, Hospital Watchdog requested an interview with a Westside hospital representative. However, the hospital public affairs staff did not respond to three written requests for comments.

Q & A With Nurse Griffin

In an interview, Nurse Griffin discussed her experience at Westside. To verify her claims, Ms. Griffin provided supporting documentation. (This interview was edited for clarity and brevity.)

What Were The Troubling Conditions You Encountered?

Q: What was your reaction when you were told to accept a third ICU patient?

A: When I was assigned a third patient there was no continuous monitoring. Consequently, I had no idea if my patient was doing well or poorly. If the patient had an adverse medical event, I wouldn’t know. That had me worried that one of my patients might die because I was unable to monitor them. I knew that my ethical responsibilities to the patient couldn’t be met. Finally, I asked myself would I accept this practice if a family member on an ICU was not monitored? The answer was a resounding NO. Still, I wanted to keep my job so I did what others did, I accepted three patients as required in my unit. At first, I wasn’t able to speak up.

Q: Were other nurses on your unit bothered by the requirement to accept three patients?

A: For sure. We were a close-knit nursing group in a 12-bed unit. We talked about it often. It bothered every one of us. But the nurses were understandably afraid to speak up because, if I guess correctly, they were looking at retirement or they had young children, or they were the main breadwinner. We were all quite aware of the serious risks for speaking up. I didn’t say anything for quite a while.

Q: Were there other issues?

A: We were often given 3 and on occasion even 4 patients. I saw nurses with no ICU training placed on the unit. I even observed nurses on our unit who were not trained to treat a recovering open-heart patient. I heard physicians comment that the unit was not safe. One doctor referred to the hospital as “Deathside” (instead of Westside).

Q: Did the CVICU ever provide full-time monitoring at the nurses’ station?

No continuous monitoring
No continuous monitoring

A: Occasionally a charge nurse would sit at the nurses’ station checking all the patient telemetry. But the charge nurse had multiple duties and would only be there for a limited time. Sometimes the charge nurse might go to a meeting or transfer a patient or go outside the unit. With no backup for monitoring, we all had to rely on our own individual monitoring.

Patients Died While Unmonitored

Q:  Could you describe the death of one of the unmonitored patients?

No continuous monitoring
No continuous monitoring

A:  Here’s what I remember. A man came out to the nurse’s station and said something was wrong with his family member. At that time the family member’s nurse was actively involved in another room with another patient and the nurse couldn’t break away and check the family member face to face. The telemetry was not available for this patient since our screens could only provide the data for two patients. If the nurse had been able to monitor the patient’s vitals there might have been signs that would have alerted the nurse to rush to the patient or to get help. The nurse’s third patient might have been saved. Instead, it turned out the patient may have been dead for about 30 minutes before the death was even discovered.

Q: What do you recall about a 2nd patient who died with no continuous monitoring?

Pulmonary Embolism (PE)
No continuous monitoring

A: There was a patient on our unit who died from a pulmonary condition, according to a doctor’s best guess at the time. As I explained, we only had the ability to monitor two patients on a split-screen. The patient’s nurse couldn’t see what was going on with the third patient with vitals and other measurements. If the nurse had been able to observe this patient’s vitals, the nurse might have seen irregularities developing. There could have been rapid breathing, rapid heart rate, chest pain, shortness of breath, coughing, low blood pressure, fever. Unfortunately, the nurse couldn’t monitor the third patient and, in my view, the patient died without receiving the intensive care that we should have provided.

Comment: The two case examples provided by Nurse Griffin are not substantiated with medical records or other documentation. However, there are CMS Statement of Deficiency reports describing circumstances where ICU nurses were unaware of their patients deteriorating vitals due to a lack of proper monitoring. Such cases demonstrate how quickly a fatality can occur on an ICU. (See a summary of Adventist Bakersfield patient death) (See CMS Statement of Deficiency Report Adventist Bakersfield Hospital)

Nurse Griffin Thought Everything Would Be Corrected

Q: Once you started complaining, what result did you expect?

A:  I literally thought the problem of no continuous monitoring would be corrected. When I was in the Navy, I learned to go up the chain of command. That’s what I did at Westside and I believed that the hospital would take care of the problems. I thought maybe this is just a local thing, maybe the people up at the top, maybe they don’t know. And that’s why I went to corporate. But that showed me I was naïve. I believe this policy came from the top.

Threatening Incident With Unit Director

Q: Could you fill in details on the threatening incident you described in your lawsuit? 

A:  I’ll never forget that day. I had been harassed in various ways for months. On this day it was probably around five o’clock in the afternoon. The unit director, Dexter Dore, came in holding my coffee cup. We had a policy of no food or drink allowed at the nursing station. My coffee cup had been in the break room the entire day. I told him the cup was clean and empty and sitting by my things for when it was time to go. He repeated, “yeh, clean and empty.” He held it over the garbage can.

No continuous monitoring on CVICU
Julie Griffin’s Coffee Cup

I asked him, “Please, do not throw my personal belongings into the garbage.” Right in front of me, he dropped it into the garbage can as he said: “You know the rules.” I said, “You have no right to throw my personal belongs away.” I stepped forward and picked my cup out.

He approached me with his index finger coming within inches of my face, intimidating me. He stated, “No cups allowed.” He snapped his fingers inches from my face and said, “Get to my office.” I backed up. I said, “I’m feeling very threatened right now. You need to back away from me.” Then I went to the computer to fill out an incident report.

I was still writing the incident report when he came back with the nursing supervisor. He had only been in his position for a few months and I didn’t really know him or what he might do to me. I was frightened.

I put my cell phone up on the computer to record what would happen and the nursing supervisor saw it and said to the Director: “Don’t say anything else. She’s recording.”
They both left.

911 Call To Local Police

I finished my incident report and submitted it online. I then gave the charge nurse my patient reports so I could be relieved. I then called 911. I was genuinely afraid. Police officers arrived promptly. I was escorted to my car. That was February 22, 2017.

Westside HR Acknowledged Director’s Actions Were Inappropriate

After my incident report was reviewed by HR, I met with two HR staffers. They acknowledged that the Director’s actions with the coffee cup were inappropriate. Even so, after that meeting, when he walked past me the Director would growl and grunt, making noises to annoy me. I assumed he was trying to get me to quit.

Florida House Member, Barbara Watson, Campaigns For A New Bill: “Florida Hospital Patient Protection Act” (HB231)

During the same period when Nurse Griffin was harassed while advocating for patient safety at Westside Regional, Florida House member Barbara Watson was attempting to advance a bill that addressed some of the same issues. (More details on Florida Hospital Patient Protection Act.)

View a draft of the Florida Hospital Patient Protection Act.

Nurse Griffin’s Termination

Four months after the threatening incident, on the morning of May 24, 2017, Nurse Griffin sent an email to her unit’s Director Dexter Dore. Among other issues, she described her caseload at that time: “… I have been assigned 2 patients. 1 has a transfer order. While it may look as though the care I am providing would allow for an additional assignment, I believe that it would be unsafe. The patient in room 18 is a post-open-heart patient receiving diuretics and needing to get up to the toilet frequently. Without my answering her call light when she rings she may urinate on herself or attempt to get up on her own and fall with all the cables attached to her. My other patient, as you heard in rounds this morning, constantly screams for help.”

Director Arrives On Unit, Nurse Griffin Required To Accept Three Patients

Later that same day, around 5 PM, Mr. Dore came to the unit. Ms. Griffin was instructed to take a third patient. Again, she refused. Another nurse said she needed to take 1 hour to arrange to have her second patient moved to a step-down unit. After that arrangement was concluded the other nurse said she could take the patient that Ms. Griffin was ordered to accept as her third patient.

The unit’s Director said that since Ms. Griffin was on a list she was required to take a third patient (even though the other nurse would have only 1 patient).

The hospital moved quickly. Julie Griffin was immediately put on administrative leave. Two weeks later she was terminated.

The Bottom Line

Q: What’s your take-home message for nurses?

A: It’s simple. When you’re a patient in an intensive care unit, you should receive intensive care. Every moment should be monitored. If patients aren’t monitored, medical complications will surface. More deaths will occur. It could happen to your mother or my mother. As an RN on an ICU, I have the professional responsibility to safeguard all my patients. That’s what I did.

After Firing Nurse Griffin Westside Regional Now Continuously Monitors All CVICU Patients

Hospital Watchdog has been informed by another nurse from Westside Regional that after Nurse Griffin was fired the hospital changed its policy and now continuously monitors all patients in the CVICU.  Though Nurse Griffin was fired, it appears her advocacy had a significant impact.  Based on the information provided to us, if a problem arises with any patient, an alert appears on all monitoring screens on the unit. In this way, all nurses are immediately made aware of the problem. (This new policy could not be verified with Westside Regional since the hospital refused to answer any questions.)

Westside ER Nurse Now Reports Troubling Conditions At The Westside ER

A nurse working in the Westside Regional ER has reported to Hospital Watchdog being assigned three high acuity patients (needing a high level of care). These patients were scheduled to be transferred to an ICU as soon as beds were available.

All three patients were suffering from major health crises. One of the patients had just had a heart attack and one of the patients was also suffering from respiratory distress. Due to severe conditions, all three patients were continuously monitored in the ER. However, nurses at the Westside ER can only observe the monitoring screen when the nurse is in the room of that patient.

The ER nurse described what the nurse believes is a troubling and dangerous problem in the Westside ER. There is no dedicated monitor tech at the nurse’s station. Consequently, there is no assigned staff to alert a nurse if their patient in another room has a change in vital signs/cardiac rhythm requiring immediate attention. Thus, ER nurses may not be notified if one of their patients is at perilous risk. 

Commentary: 

Westside Regional Medical Center is not just a local community hospital. Westside is an HCA Healthcare hospital, the largest for-profit hospital chain in the U.S. It’s reported that HCA owns 185 hospitals. HCA earned nearly 47 billion in 2018. According to HCA, the corporation has 249,000 employees, including 38,000 physicians and 87,000 nurses. At HCA, profit is front and center.

Samuel Hazen
HCA CEO Samuel Hazen

The HCA CEO, Samuel Hazen. has an education in finance and business administration along with years of managerial experience at HCA. Mr. Hazen is apparently accomplished at producing profits. He was paid over $10 million for services during fiscal 2019. Yet, the Chairman of HCA, H. Milton Johnson, was paid over $20 million for his services during fiscal 2019. While HCA is known for its size and profitability in the healthcare industry, HCA is also well-known to state and federal oversight personnel and in legal circles for the criminal and civil litigation levied against the hospital chain. Over the last 20 years, HCA has reportedly paid out close to 2 billion dollars in criminal and civil damages, penalties, fines, settlements, etc. for various fraudulent or illegal schemes.  While there is extensive press coverage on these lawsuits and penalties, here is one report. NY Times on HCA False Claims

An obvious question arises: Did profits come ahead of patient safety at Westside?

Going Up The Chain Of Command Can Be A Rough Road

What happened to Nurse Griffin was more than unfortunate. She fought hard. It appears she brought change. Generally, hospital staffs are reluctant to register complaints within their hospitals for fear of retaliation.   

There are options. File an anonymous complaint with an oversight entity. The Centers for Medicare and Medicaid, (CMS) provides a page describing how to file a complaintThe Joint Commission has a page with information for filing an anonymous complaint against a hospital. The page is titled: Report a Patient Safety Concern or Event. 

(Hospital Watchdog volunteers contributed to this story)

38 thoughts on “Nurse Fired While Advocating For Patient Safety On CVICU

  1. People come to hospitals trusting the care of the medical team truth of it you have to be an advocate for your own health care or you may die there. Even surgeons today send their patients home post surgery to recover because they know it is high risk to keep their patients in the hospital. It is a sad state of affairs.

  2. I quit HCA twice. The first in 6 weeks, the second in 2, while still in orientation. They suck. I truly believe her stance in the story- they were probably using ancient equipment bought in the 80’s and never updated. That’s how their computer system is, written before the use of the computer mouse was common, with everything done by the “F” key.

  3. I worked for an HCA hospital for 2 months before I quit. It was an OR position and they were about to force me off orientation 2 months early. I didn’t feel ready for that and I couldn’t jeopardize my license. Never again. I sincerely hope she wins this suit. Poor woman.

  4. My first thought when I read what happened is “this just be an HCA Hospital”…. I was right. HCA puts profits/shareholders before patient’s. Even in CA where we have strict ratios, they would still force us out of ratio and threaten us with termination if we tried to refuse or fight back. I moved into management and it was even worse. We lost over 50% of our leadership team in 6 months due to resignations. Leadership is ripped by admin if they are even over the FTEs by 1 hr and require a daily action plan to address this failure. Staffing is continuously cut to ensure no FTE overages and my facility had a policy that if you went over on FTEs at all they would suspend all hiring for your unit for 6 months and deny any extra FTE requests.

  5. I did my first clinical day this hospital, it is the closest hospital to my moms house as well. I would not want my mom going there after reading this. Sadly, I always feel as though I need to be by my family members side at any hospital due to understaffing, but the ICU, that is scary. This nurse did what she promised to do, take care and advocate for all of her patients.

  6. Agreed! I will try very hard to not work for HCA ever again! They prove over and over to subscribe to a profits before patients mentality! And, they will be the first to throw a great performing nurse under the bus to try and save their own ass!
    It saddens me to know that nurses (and other healthcare workers are afraid to stand up for what’s right for fear of losing their job and being blacklisted!!

  7. You’re amazing, Nurse Griffin, and such an advocate for better, safer healthcare. I hope thousands of nurses join your crusade.

  8. Although one company is cited here, healthcare is a business and many times RNs have to jeopardize their jobs and reputations to make a stand for patient safety. Unfortunately, our government not only allows this by perpetuating a payment system that focuses on uneducated customer service opinions for determining reimbursement. HCAPS Scores are making health care providers focus on the hospitality rather than patient safety or sound medical practice. Nurses are trained in school to be a patient advocate, but are often encouraged to ignore patient safety and be a team player. Sorry, I’ll take the hit.

  9. Sadly we know these are all true stories in many hospitals for profit and Not , we have all lived nightmares like that, we had to put up with the enormous stress of the very high possibility of loosing our license either for omitting care or making errors that would harm our patients because of overwhelming workload and unsafe patient-staff ratio. Incident reporting denouncing short staffing and unsafe working conditions in my long ICU experience did nothing to improve working conditions or improve outcomes.

  10. Thank you to this courageous nurse doe not only standing up for her patients but for the profession as nursing as well. Although this is an HCA facility, there are other hospitals putting patients and nurses I. The same unsafe situations daily across the US.

    The patients need is to have safe nurse to patient ratios. Hospitals have demonstrated that they will cut corners to being on million dollar bonuses for their leaders. This is not ”OK” in hospitals as safe patient care should come first always.

    http://www.nursestakedc.com

  11. My mother was recently hospitalized in an HCA hospital. The staffing ratios and lack of care were appalling. She is a Stage IV cancer patient who has received her medical care from the hospital and clinic (not Westside) for several years. HCA took over about a year ago and the care has definitely declined. The staffing ratios are a joke. The nurses had no time to pick up on subtle changes, assure orders were correct or anything else

    I have worked as a case manager and discharge planner at our local VA hospital for several years. The discharge planning at our HCA hospital was abysmal. They were recently cited by Joint Commission for their lack of discharge planning

  12. Nurse Griffin, I fully support you! I worked for HCA’s “Flagship” hospital and I could tell several stories. One related to what happened to you, is that they were going to require us to pull cardiac catheterization sheaths on the cardiac medical-surgical floor in a room with no continuous monitoring! That was before plugs or going in the radial artery. I did my first one with a nurse that had done them before down in recovery and they were only hooked up to the Dynamap and tele (we did have a tele tech at least). When I realized that they were going to give me other patients once I was done holding pressure, I said NOOOOPE!! I got the hell out of there before something happened. God Bless you in your fight. Don’t give up. These unsafe practices need to STOP!!!

  13. Years ago when my son had Kawasaki disease he was in the hospital for the 2nd time. This was 1995. He was 4. He couldn’t walk. His knees were bigger then his thighs. The hospital wasn’t doing anything. The head nurse came in and had tears in her eyes. She said you have to get him out of here and get him to children’s. Please don’t say anything that I told you this as I’ll lose my job. We took him by car to the children’s hospital. By time I parked the car as my friend carried him in they already had him in emergency CT that’s how bad he was. The Kawasaki disease had affected his heart and he now had aneurysms in his coronary arteries. If it wasn’t for the nurse I’m not sure if my son would be here today. He is 29. The hospital wouldn’t transport him to children’s either. They wanted me to sign a release form which I wouldn’t do. We had to drive him. This medical care sucks. It’s not just recent though. It’s been going on for at least 30 years that I can go back to.

  14. I left management because we are the middle man trying to fight for both patient safety and safe staffing. I have never once in Texas seen an administrator, CNO, CEO or CFO who cared about safe staffing. It was always about bottom dollar. Management and Directors who are bullies are very common. Many times HR plays silent giving no direction to the staff.
    Recently I was in a situation where I was assaulted and the Administrator and Director neither one made any attempt to call me back for almost 72 hours. They truly do not care.
    In another situation years ago in the ICU I was left in a very unsafe situation and the on call nurse never came in when we called her in. Later a patient died and life just went on, so I resigned and left the following week. I will NOT be a part of that kind of care. Because it under-mines safe patient care. Those who continue to practice in these facilities simply put on blinders. Patients have repeatedly died under poor staffing designs that the states and federal government refuse to acknowledge. The hospitals will NEVER acknowledge them because it affects money. They bullies in management will push through as long no one stops them. Since then, I’ve gone into a line of nursing where I can be responsible for and to myself. However- I will always speak up for safe staffing ratios and safe patient care. This cannot be over-looked.

  15. Thank you for sharing! This is all too familiar territory these days. Having been, until recently, a critical care nurse for 20 years, the monitoring is crucial! We are constantly being pulled from the bedside for task driven, non patient centered care. You should fear a hospital stay until staffing changes. Thank you Julie, you are doing our profession a great service, We support you! Stay strong!

  16. Our nurse was the only medical professional to respond to our pleas for help when our son encountered complications while an inpatient at The Sidney Kimmel Cancer center at Johns Hopkins. She could not get a doctor to respond to her page so she took matters into her own hands and called for an ICU transfer herself. The transfer was denied. Three hours later my son was dead. He would have received more attention if he had been laying on the sidewalk on Orleans Street rather than an inpatient on the Unit, yet the hospital insists he received appropriate care. He received Zero care with the exception of our nurse.
    One must NEVER assume that because you are in a world renowned hospital or any other hospital that you can trust that you loved one is receiving appropriate care. Make sure you see an attending physician everyday, and ask them to explain the treatment plan for each day. If you are sick enough to be in the hospital, you are sick enough to see an attending physician. One way to initiate change is to complain on the HCAPS surveys if you are not receiving appropriate care, and identify which areas of the hospital are not providing that care. Hospitals are reimbursed for services by CMS based on the survey results. Too many low scores means their institution may lose money, and hospitals will do anything to prevent that from happening. Unfortunately, that’s more important to them than patient care.

  17. Hello, Nurse Griffin; i applaud you for the impact you made on safe patient care,even tho you paid the cost of losing your job. You may have lost that job, but you did NOT lose your professional integrity and dignity. You are a hero. I have been a bedside critical care and open heart nurse for over 40 years. I consider myself to be a caring advocate for my patients and families, but as the years pass, i find it harder and harder to stand up for what is right for them in the light of uncaring, money hungry bottom -feeders who are the administrators of large corporate for- profit (and some “non-profit”) hospitals! It is a daily struggle for me, my staff nurse colleagues, and my unit managers as well.

  18. As a Nurse I understand the concern for the patient. There are slit of bad hospitals! That Florida hospital has a one star rating. Why not find a job at a better hospital and avoid all the stress ?

  19. HCA is the worst. I clearly remember being bullied off my lunch break by management to go take a new patient assignment on a new floor. I clearly refused to be bullied and hence She, Carla Bryan (university hospital) threatened me about reporting me to the FBN.😳👀. I left immediately and reported her to the HR and CEO in a letter. I encouraged them to educate her on the labor laws in Florida as it specifically relates to lunch breaks. To my surprise, The HR Mgr agreed that she should bully me !!

  20. DMcKenna, because those of us that live in Plantation need to trust our hospital is safe when we have an emergency

  21. I keep coming back to this. In 2004, I managed a NICU in North Florida . I worked a 12 hour day shift, had FOUR Nitric Oxide Pulmonary Hypertension babies, and both night nurses called in sick. There was a stomach bug going around and they both had it. I worked 24 hours because I had no one to come in that wasn’t sick. I remember so clearly how it felt to be helpless to take better care of these critically ill babies. I knew the managers from a couple other departments could have helped, but didn’t. It was a defining moment in my career. I knew then that I would never accept a management position in Nursing. The welfare of the patients and the nurses was too important to me.

  22. My 96 year old grandmother was a patient at Westside in February of this year. She was brought in because we believed she had a stroke. She was there for four days. My mother stayed with her the whole time except for on the last day. She left to go home and shower. Before leaving she advised the floor nurse that she was leaving and to please watch my grandma. 45 minutes later she returned. A visitor of a patient in the next room told her that my grandma was trying to climb over the bed rails. My mom found my grandma half way off her bed. She had bruises everywhere from this. Not to mention, they did not find out u until the 4th day that her inability to talk or function normally was not due to a stroke but due to an UTI. Ugh, just throw the whole hospital away…

  23. As a Respiratory ICU nurse many years ago, I accepted a third patient ( our unit assigned 2 patients to 1 nurse) I would NEVER do it again.It was so stressful and unsafe. That was in 1983. Obviously safe staff is still and issue. Nurses are under tremendous pressure to day. Best of luck to Nurse Griffin. She did what was right. We care in very sad times.

  24. I have to deal frequently with this hospital- they perform unsafe discharges on a daily basis- the staff I have interacted with seem less than interested in doing anything for proper patient care- I wouldn’t be a patient there under any circumstance

  25. Hcaps complaints actually do not initiate useful change-they result in lower Medicare/Medicaid reimbursement and so further nurse punishment/bullying by admin—-from a long-time nurse tired of hearing about hcaps (they determine admin and middle mgt bonuses)

  26. We need more nurses to stand up when this happens . We need all nurses to stand by this nurse. Get laws passed, and stop this silencing nurses. When they fire one the rest get silenced. they will make an example out of any nurse . Nurses are just disposable objects, throw away’s ‘ Kudos to this nurse from speaking up , and holding their feet to the fire !

Leave a Comment

%d bloggers like this: